cover
Contact Name
I Putu Gde Surya Adhitya
Contact Email
surya_adhitya@unud.ac.id
Phone
+6288975003567
Journal Mail Official
editorptji@gmail.com
Editorial Address
Faculty of Medicine Udayana University, Jl. PB. Sudirman Denpasar Bali, Indonesia
Location
Kota denpasar,
Bali
INDONESIA
Physical Therapy Journal of Indonesia
Published by Universitas Udayana
ISSN : 27220125     EISSN : 27226034     DOI : https://doi.org/10.51559/ptji.v1i2
Core Subject : Health, Science,
The Physical Therapy Journal of Indonesia or PTJI is an open access journal that publishes scientifically content two editions per year June and December to promote clinical practice and research in the physical therapy area The Journal aims to promote a lively exchange of ideas between academics and practitioners as well as to bridge and integrate the intellectual of physical therapy experts
Arjuna Subject : -
Articles 205 Documents
Determinants of sleep quality among older people Nungki Marlian Yuliadarwati; Agus Hariyanto; Sujono Sujono
Physical Therapy Journal of Indonesia Vol. 7 No. 1 (2026): January-June 2026
Publisher : Universitas Udayana dan Diaspora Taipei Medical University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/ptji.v7i1.383

Abstract

Background: Sleep quality is a key indicator of health in later life, yet it often deteriorates as individuals age, particularly among those living in institutional settings. In nursing homes, biological changes interact with daily routines and limited physical activity, potentially aggravating sleep disturbances. Understanding these interactions is essential for developing feasible interventions for elderly residents. Methods: This cross-sectional study was conducted among 288 older adults residing in nursing homes in Malang, Indonesia. Participants were selected using purposive sampling based on predefined criteria. Physical activity was assessed using the Global Physical Activity Questionnaire (GPAQ), sleep quality using the Pittsburgh Sleep Quality Index (PSQI), and anxiety using the Depression Anxiety Stress Scale (DASS). Multivariate linear regression was applied to examine associations between demographic factors, anxiety, physical activity, and sleep quality. Results: The regression model explained 37.9% of the variance in PSQI scores (R2 = 0.379). While higher physical activity levels significantly predicted better sleep quality (β = -0.415, p < 0.001). advanced age (β = 0.043, p = 0.018) and female sex (β = 0.482, p = 0.003) were significantly linked to worse sleep outcomes. Neither anxiety (β = -0.069, p = 0.071) and employment history (β = -0.079, p = 0.086) were not significantly associated with sleep quality. Conclusion: Among the factors examined, physical activity demonstrated the strongest association with sleep quality in elderly nursing home residents. These findings highlight the potential value of activity-based programs as part of routine care, while also pointing to the need for sleep interventions that account for age-related and sex-specific differences.
The lived experience and caregiver burden of family members supporting chronic stroke survivors Gian Lisuari Adityasiwi; Nathan Agwin Khenda; Hana Kristina; Ellysa Okky Gusma; Nicholas Adi Perdana Susanto; Fajar Wijanarko
Physical Therapy Journal of Indonesia Vol. 7 No. 1 (2026): January-June 2026
Publisher : Universitas Udayana dan Diaspora Taipei Medical University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/ptji.v7i1.384

Abstract

Background: Stroke is a debilitating neurological condition and a leading cause of long-term disability worldwide; effective management of chronic stroke survivors requires continuous family support for rehabilitation and recovery. This study aimed to examine the lived experiences and caregiving burden of family members of chronic stroke survivors. Methods: This descriptive qualitative study was conducted in Yogyakarta, Indonesia (March - April 2025), using purposive sampling to recruit eleven primary family caregivers of chronic stroke survivors attending outpatient rehabilitation. Data were collected through semi-structured, face-to-face interviews, audio-recorded, transcribed verbatim, and analyzed using Braun and Clarke’s thematic analysis. Data collection and analysis proceeded concurrently until thematic saturation was reached. Ethical approval and informed consent were obtained. Results: Three themes emerged: health-seeking behavior, access to rehabilitation, and caregiving experiences. Caregivers faced significant physical, psychological, and financial burdens due to continuous care demands, limited access to physiotherapy, and inadequate rehabilitation guidance despite having health insurance. Conclusion: The findings highlight the urgent need for financial support and policy action to advance digital innovation in rehabilitation and reduce the chronic burden caused by systemic gaps.
Correlation between early patient mobilization and length of stay and readmission among surgical cancer patients with hypoalbuminemia Nurliah Arsam; Syamsuddin; Erwin Gidion Kristanto; Hesty Utami Ramadaniaty
Physical Therapy Journal of Indonesia Vol. 7 No. 1 (2026): January-June 2026
Publisher : Universitas Udayana dan Diaspora Taipei Medical University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/ptji.v7i1.400

Abstract

Background: Early mobilization is an important component of postoperative care and a commonly used indicator of patient prognosis. Postoperative complications, prolonged length of stay, and hospital readmission are common after cancer surgery. The purpose of this study was to evaluate the relationship between early mobilization in hypoalbuminemia cancer patients and length of stay and readmission after surgery. Methods: We conducted a retrospective cohort study with total sampling of eligible cancer patients treated at Prof. Dr. R.D Kandou General Hospital. Patients were categorized based on initiation of postoperative early mobilization. The main outcomes were prolonged length of stay (LOS > 10 days) and 30-day readmission. Results: Thirty-four patients met inclusion criteria, with 52.94% receiving early mobilization. Prolonged hospitalization was frequent, affecting 88.88% of patients, and one-third required readmission within 30 days. No significant association was found between early mobilization and either length of stay or readmission. Conclusion: Although early mobilization did not show measurable benefits in these outcomes, lack of statistical association does not imply clinical irrelevance. Early mobilization therefore remains clinically justified, not as a guarantee of shorter hospitalization, but as a strategy to preserve functional independence and mitigate the physiological costs of immobility.
Influence of physical education learning models on flexibility recovery and functional mobility in martial arts Fahmy Fachrezzy; Uzizatun Maslikah; Hernawan; Made Bang Redy Utama; Muhammad Gilang Ramadhan; Sri Indah Ihsani; Ayu Purnama Wenly; Saipulloh Ibrahim
Physical Therapy Journal of Indonesia Vol. 7 No. 1 (2026): January-June 2026
Publisher : Universitas Udayana dan Diaspora Taipei Medical University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/ptji.v7i1.402

Abstract

Background: Flexibility and functional mobility are two important parts of Taekwondo performance. It is thought that new ways of teaching will help athletes recover faster and move better. The purpose of this study was to determine how a Sports Education-based learning model combined with active recovery affected the recovery of flexibility and functional mobility in Taekwondo athletes. Methods: This study was a quasi-experimental study using a pre-test and post-test control group design. Twenty-eight Taekwondo athletes (aged 16 to 20) were divided into two groups. The experimental group using a sports education model with active recovery, and the control group using regular training. The intervention lasted six weeks. The sit-and-reach test and the shoulder-wrist test were used to measure flexibility during the acute and chronic phases. Functional movement screening (FMS) and the multidirectional kick height test were used to assess functional mobility. Results: Multivariate analysis of variance (MANOVA) showed that there were big differences between the groups (p<0.05). The experimental group showed faster recovery of flexibility after exercise, bigger improvements in FMS scores, especially in the active straight leg raise and rotary stability components, and big increases in kicking height and accuracy. Conclusion: The sport education model with active recovery speeds up the recovery of flexibility and improves the functional mobility of Taekwondo athletes. This makes it a good suggestion for developing training programs.
Long-term functional mobility and gait-related outcomes after single-event multilevel surgery in ambulatory children with cerebral palsy: A systematic review Sufandi Fahmi; Tri Wahyu Martanto; Dwikora Novembri Utomo; Arif Zulkarnain; Hizbillah Yazid
Physical Therapy Journal of Indonesia Vol. 7 No. 1 (2026): January-June 2026
Publisher : Universitas Udayana dan Diaspora Taipei Medical University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/ptji.v7i1.443

Abstract

Background: Single-event multilevel surgery (SEMLS) is widely used to manage multilevel lower-limb deformities and gait impairment in ambulatory children with cerebral palsy. However, the long-term relationship between gait correction, functional mobility, biomechanical outcomes, and the need for additional surgery remains incompletely defined. This systematic review evaluated long-term functional mobility and gait-related outcomes after SEMLS or related multilevel surgical procedures in ambulatory children and adolescents with cerebral palsy. Methods: A systematic literature search was conducted in PubMed and Scopus. Long-term follow-up was defined as postoperative follow-up exceeding 12 months. Eligible studies included original clinical studies evaluating SEMLS, multilevel gait improvement surgery, or procedure-specific interventions performed as part of a multilevel surgical approach in ambulatory individuals with cerebral palsy. Functional mobility outcomes included Functional Mobility Scale (FMS), Gillette Functional Assessment Questionnaire Walking Scale (FAQWS), Gross Motor Function Classification System (GMFCS), assistive device use, and wheelchair use. Gait-related outcomes included global gait indices, three-dimensional gait analysis, spatiotemporal parameters, kinematic and kinetic variables, and biomechanical measures. Methodological quality was assessed using MINORS, and findings were synthesized narratively. Results: Of 480 identified records, 10 studies met the inclusion criteria. Functional mobility outcomes showed maintenance or improvement of ambulatory ability after SEMLS, although outcomes varied according to baseline GMFCS level and walking distance. Patients with GMFCS levels I–II generally demonstrated more favorable household and community mobility than those with GMFCS level III. Global gait indices, including GPS, GDI, EVGS, and GGI, generally improved after SEMLS. However, residual abnormalities such as pelvic tilt, swing-phase knee motion, postoperative back-kneeing, and recurrent crouch gait were also reported. Several long-term cohorts reported additional orthopedic surgery because of recurrence, residual deformity, or newly developed biomechanical problems. Conclusion: SEMLS was associated with favorable long-term functional mobility and gait-related outcomes in ambulatory cerebral palsy. However, postoperative outcomes remained heterogeneous across functional level, gait domain, surgical composition, and follow-up duration.
Effect of halliwick aquatic therapy and a land-based homologous program on postural control in children with cerebral palsy Julio E Pérez-Parra; Yuli J Orejuela-Holguín; Jessica Maya-Álvarez; Juana Azuero-Losada
Physical Therapy Journal of Indonesia Vol. 7 No. 2 (2026): Inpress July-December 2026
Publisher : Universitas Udayana dan Diaspora Taipei Medical University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/ptji.v7i2.341

Abstract

Background: This study explores whether the effectiveness of Halliwick aquatic therapy is attributable to the mechanical properties of water, to the therapeutic exercise program developed during the sessions, or to a combination of both. This study aimed to determine the effect of Halliwick Aquatic Therapy and a homologous land-based program on postural control in children with cerebral palsy aged 5 to 15 years classified as GMFCS levels I, II, and III. Methods: A controlled clinical trial with a crossover design was conducted. Seventeen children participated, with a mean age of 9 years, most of them with hemiparesis. Each child received both interventions: Halliwick aquatic therapy and a land-based homologous program. The initial intervention was randomized. Postural control was assessed using the Pediatric Berg Scale and dimension E of the Gross Motor Function Measure. Analyses included intra- and inter-sample differences, as well as repeated measures ANOVA. Results: Balance improved significantly with both interventions (p<0.01). Gross motor function improved with both interventions but only reached significance on land (p<0.001). Significant differences were found in the improvement of balance between the interventions. (p=0.017), with greater improvement on land. The sequential application of both interventions significantly improved both balance (p<0.001) and gross motor function (p=0.013). Conclusions: The land-based program homologous to Halliwick Aquatic Therapy significantly improves gross motor function and balance in children with CP. A combined approach of consecutive therapies is recommended to optimize outcomes.
Rehabilitation approaches for visual disorders post-stroke: A systematic review in neurological physiotherapy Jovita Jutamulia; Elfira Sutanto; Putu Anindya Agrasidi
Physical Therapy Journal of Indonesia Vol. 7 No. 2 (2026): Inpress July-December 2026
Publisher : Universitas Udayana dan Diaspora Taipei Medical University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/ptji.v7i2.440

Abstract

Introduction: Visual disorders after stroke are common and may substantially impair reading, mobility, spatial orientation, activities of daily living, and quality of life. Although various rehabilitation strategies have been developed, the evidence remains heterogeneous across impairment subtypes and intervention modalities. This systematic review aimed to examine rehabilitation approaches for post-stroke visual disorders, identify the types of interventions used, and summarize findings relevant to neurological physiotherapy practice. Methods: A systematic review was conducted following PRISMA principles. Literature searches were performed in PubMed/MEDLINE, ScienceDirect, ProQuest, and Google Scholar from inception to March 2026. Eligible studies involved patients with stroke presenting with visual disorders, including hemianopia, diplopia, visual neglect, and visual perceptual deficits, and evaluated neurological physiotherapy-based rehabilitation interventions. Due to heterogeneity in interventions, outcome measures, and study designs, the findings were synthesized narratively. Results: A total of 1,022 records were identified, and 15 studies were included in the final review. Most included studies were randomized controlled trials published between 2008 and 2025, with sample sizes ranging from 12 to 158 participants. The most common disorder was homonymous hemianopia, while the main interventions included visual scanning training, visual exploration training, smooth pursuit training, vision restoration training, virtual reality-based rehabilitation, and stimulation-based approaches such as tDCS and TENS. Overall, rehabilitation interventions were generally associated with improvements in functional outcomes, including visual search, reading performance, neglect measures, activities of daily living, and vision-related quality of life. Although some multimodal interventions combining visual training with sensory or electrical stimulation showed promising results, the findings varied across studies and should be interpreted cautiously. Conclusion: Rehabilitation approaches for post-stroke visual disorders may support improvements in functional performance and quality of life; however, the evidence remains heterogeneous across visual impairment subtypes, intervention modalities, and outcome measures. Early identification, accurate phenotyping, and individualized rehabilitation planning may help optimize neurological physiotherapy management, but further well-designed studies are needed to determine the most effective intervention strategies.
Implementing the international exercise guidelines to improve the functional independence among the chronic spinal cord injury patients: A randomized controlled trial Nurul Hanifah; Martha Kurnia Kusumawardani; Lydia Arfianti; Nur Sulastri; Inggar Narasinta; Dewi Poerwandari
Physical Therapy Journal of Indonesia Vol. 7 No. 2 (2026): Inpress July-December 2026
Publisher : Universitas Udayana dan Diaspora Taipei Medical University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/ptji.v7i2.385

Abstract

Background: This research investigated the effectiveness of a modified exercise program in accordance with international spinal cord injury (SCI) exercise guidelines for improving functional independence in individuals with chronic SCI. Methods: A randomized controlled trial with a pre–post assessment design. Chronic SCI patients were allocated to either the intervention or control group. The intervention group participated in a 12-week combined aerobic and resistance training program. Functional independence was measured using the Spinal Cord Independence Measure (SCIM-III) at baseline and post-intervention. Results: Participants of intervention showed statistically significant improvement in functional independence (SCIM-III scores 79.25 ±19.6 to 86.0±17,8 p=0.018; effect size d = 0,84). The control group showed no meaningful change (56.38 ± 24.48 to 56.88 ± 23.73, p=0.848). Between-group comparison confirmed a significantly greater gain in the intervention group (Δ6.75 ± 6.79 vs. 0.5 ± 7.09, p=0.014; effect size 0.9). No severe adverse events were reported. Conclusion: A working translation of the International SCI Exercise Guidelines has been tested in Indonesia, showing clear gains in daily living skills. Because these results match global findings, adding planned physical activity to spinal cord injury recovery may work well even where resources are limited.
Heart rate variability responses to neuromuscular electrical stimulation in intensive care unit-acquired weakness patients: A pre–post observational study Grace Juillet Samosir; Dewi Poerwandari; Dyah Intania Sari; Bambang Pujo Semedi; Atika Atika
Physical Therapy Journal of Indonesia Vol. 7 No. 2 (2026): Inpress July-December 2026
Publisher : Universitas Udayana dan Diaspora Taipei Medical University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/ptji.v7i2.389

Abstract

Background: Intensive care unit-acquired weakness (ICU-AW) is common in critically ill patients, occurring in roughly 25–50% of mechanically ventilated ICU patients and limiting early mobilization. Neuromuscular electrical stimulation (NMES) may provide adjunctive rehabilitation and potentially modulate autonomic function. This study evaluated short-term changes in heart rate variability (HRV) after a five-day NMES course in ICU-AW patients. Methods: One-group pre–post observational study in a tertiary ICU. Bilateral quadriceps NMES was delivered once daily for five consecutive days. Five-minute HRV recordings were obtained before the first session and after the intervention period and were analyzed using Kubios. Outcomes were the root mean square of successive differences (RMSSD), the standard deviation of normal-to-normal intervals (SDNN), and the low-frequency/high-frequency ratio (LF/HF); comparisons used Wilcoxon signed-rank tests. Results: Seventeen patients completed the protocol, and no clinically significant NMES-related adverse events occurred. RMSSD increased from 22.49 ms (4.22–93.10) to 51.63 ms (3.81–92.88) (p = 0.010), and SDNN increased from 28.85 ms (11.03–93.54) to 47.70 ms (9.52–137.70) (p = 0.040). The LF/HF ratio showed no significant change (0.65 [0.19–8.24] vs 0.98 [0.18–7.71]; p = 0.190). Conclusion: In ICU-AW patients, a five-day bilateral quadriceps NMES protocol was feasible and well-tolerated. The intervention period was accompanied by higher RMSSD and SDNN, indicating increased beat-to-beat and overall HRV that may reflect greater short-term autonomic adaptability during critical illness.
Effect of the Indonesian scientific exercise guidelines for adults with spinal cord injury on quality of life in patients with chronic spinal cord injury Ega Rahman Evsya; Lydia Arfianti; Nurul Kusuma Wardani; Dewi Poerwandari; Inggar Narasinta
Physical Therapy Journal of Indonesia Vol. 7 No. 2 (2026): Inpress July-December 2026
Publisher : Universitas Udayana dan Diaspora Taipei Medical University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/ptji.v7i2.392

Abstract

Background: Spinal cord injury (SCI) impairs motor and autonomic function and is often associated with reduced quality of life (QOL). Although the Scientific Exercise Guidelines for Adults with Spinal Cord Injury (SEG-SCI) have been shown to improve fitness and QOL, their effectiveness has not been evaluated in Indonesia. This study examined the effect of implementing the Indonesian adaptation of SEG-SCI on QOL in individuals with chronic SCI. Methods: A randomized controlled trial with a pre–post design was conducted in seventeen individuals with chronic SCI. Participants were randomly allocated to the control group (n= 9) and intervention group (n= 8). The intervention group completed a 12-week exercise program based on the Indonesian version of SEG-SCI in addition to usual care, and control group underwent observation at the start and at the end of the study. QOL was assessed using the SF-36 before and after the intervention. Results: Five people (45%) in the control group and six people (55%) in the intervention group said they did moderate amounts of physical activity every day, according to activity diary records. Participants in the intervention group showed a significant improvement in QOL, with a mean increase of 13.12 ± 6.7 points on the SF-36 (p = 0.001, d = 1.19), whereas the control group showed negative change of -7.5 ± 4.71 after a 12-week intervention period (p = 0.001, d = 0.44). Conclusion: A 12-week exercise program based on the Indonesian adaptation of SEG-SCI safely improves quality of life in individuals with chronic SCI. Participants who followed the guideline-based program showed clinically relevant improvements, whereas those in the control group, who did not receive structured exercise, experienced a decline in quality of life over the same period.